کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4198666 1279071 2008 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Distribution matters: Equity considerations among health planners in Tanzania
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Distribution matters: Equity considerations among health planners in Tanzania
چکیده انگلیسی

BackgroundMaximising health as the guiding principle for resource allocation in health has been challenged by concerns about the distribution of health outcomes. There are few empirical studies that consider these potentially divergent objectives in settings of extreme resource scarcity. The aim of this study is to help fill this knowledge gap by exploring distributional preferences among health planners in Tanzania.MethodsA deliberative group method was employed. Participants were health planners at district and regional level, selected by strategic sampling. The health planners alternated between group discussion and individual tasks. Respondents ranked health programmes with different target groups, and selected and ranked the reasons they thought should be given most importance in priority setting.ResultsA majority consistently assigned higher rankings to programmes where the initial life expectancy of the target group was lower. A high proportion of respondents considered “affect those with least life expectancy” to be the most important reason in priority setting.ConclusionsDistribution of health outcomes, in terms of life-years, matters. Specifically, the lower the initial life expectancy of the target group, the more important the programme is considered. Such preferences are compatible, within the sphere of health, with what ethicists call “prioritarianism”.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 85, Issue 2, February 2008, Pages 218–227
نویسندگان
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